| NPI | 1962148809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES VANDEBRAKE CEO 888-354-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-10-04 |